title: Relationship between odontogenic bacteremia and orthodontic stripping.
abstract: BACKGROUND
  The aim of this study was to evaluate the prevalence of bacteremia associated with an orthodontic stripping procedure.
  
  
  METHODS
  The study included 29 orthodontic patients (mean age, 18.2 ± 3.4 years). We used a standardized stripping procedure: a perforated stripping disk with a contra-angle hand piece was used at a low speed (<15,000 rpm; 10 seconds) on the mandibular anterior teeth. Blood samples were collected by inserting a cannula into the left antecubital fossa. A baseline sample was taken before treatment, and a second sample was taken after the stripping procedure. These samples were inoculated into aerobic and anaerobic blood culture bottles and incubated, and the bacterial cultures were identified; the samples collected before and after the stripping procedure were statistically analyzed.
  
  
  RESULTS
  Transient bacteremia was not detected in any pretreatment blood sample, but it was found in 1 postoperative blood sample; this sample tested positive for Streptococcussanguis.
  
  
  CONCLUSIONS
  The bacterial species in the positive postoperative blood sample was S sanguis, which might be associated with infective endocarditis. Clinicians should explain the level of risk to the patient and consult a concerned medical specialist.
authors.affiliation: Department of Orthodontics, Faculty of Dentistry, Erciyes University, Kayseri, Turkey. dtahmetyagci@hotmail.com
authors.forename: Ahmet
authors.initials: A
authors.lastname: Yagci
authors.forename: Tancan
authors.initials: T
authors.lastname: Uysal
authors.forename: Kevser Kurt
authors.initials: KK
authors.lastname: Demirsoy
authors.forename: Duygu
authors.initials: D
authors.lastname: Percin
mesh_terms: D000293:Adolescent; D016470:Bacteremia / Q000382:microbiology*; D001431:Bacteriological Techniques; D003743:Dental Enamel / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008310:Malocclusion / Q000628:therapy; D009971:Orthodontics, Corrective / Q000295:instrumentation / Q000379:methods*; D013298:Streptococcus sanguis / Q000302:isolation & purification; D014070:Tooth / Q000382:microbiology*; D055815:Young Adult